1. Seth Wescott, LMLP & Megan Bradshaw, LMSW March 21, 2019
A New Direction Forward: Collaborative Efforts for Youth with Sexual Behavior Problems
Seth Wescott, LMLP & Megan Bradshaw, LMSW
March 21, 2019

2. Objectives
Participants will gain an understanding of the need for collaboration between corrections and treatment in order to provide the most effective services for youth with sexual behavior problems
Participants will receive knowledge on the latest risk assessment instruments that help guide treatment decisions
Participants will learn how Kansas’ reliance on assessment-driven supervision has resulted in better outcomes for youth with sexual behavior problems

3. Mission and Vision Mission Statement Vision Statement
The mission of the Kansas Department of Corrections – Juvenile Services (KDOC-JS) is to promote standards of excellence in juvenile justice by supporting data driven policies and proven approaches delivered in the least restrictive environment possible and equipping families, communities, and partners across the state to best meet the needs of kids
Vision Statement
To lead the nation in juvenile justice by strengthening families, empowering youth, and making communities safer

4. Cheyenne
Rawlins
Decatur
Norton
Phillips
Smith
Jewell
Republic
Washington
Marshall
Nemaha
Brown 17 12 22
Doniphan
Cloud
Atchison
Sherman
Thomas
Sheridan
Graham
Rooks
Osborne MC
Mitchell
Clay
Riley
Jackson
Pottawatomie
Leavenworth 2 15 21
Jefferson 1
Ottawa
Wyandotte
Lincoln
Shawnee 29
Wallace
Logan
Gove
Trego
Ellis
Russell 28
Geary
Wabaunsee 3 7 10 23
Saline
Dickinson
Ellsworth
Morris
Osage
Douglas
Johnson 8
Greeley
Wichita
Scott
Franklin
Lane
Ness
Rush
Barton
Lyon
Miami 20
McPherson 4
Marion 24
Rice
Chase 5 9
Coffey
Pawnee
Anderson
Linn
Hamilton
Kearny
Finney
Hodgeman
Stafford 6
Reno
Harvey 25 27
Butler
Greenwood
Gray
Edwards
Woodson
Allen
Bourbon
Ford 31
Sedgwick 13
Pratt
Kingman
Stanton
Grant
Haskell 16
Kiowa 18
Wilson
Neosho
Crawford 30
Elk
Meade
Clark
Barber
Sumner
Cowley
Morton
Stevens
Seward
Comanche
Harper
Montgomery
Labette 19
Chautauqua
Cherokee 26 14 11 1

5. Commitment to Reform
In 2015, a bi-partisan commitment from leaders in the executive, legislative, and judicial branches of state government charged the Kansas Juvenile Justice Workgroup with developing policy recommendations intended to advance three goals:
Promote public safety while holding juvenile offenders accountable
Control taxpayer costs
Improve outcomes for youth, families, and communities across Kansas
The workgroup involved a comprehensive, data-driven assessment of Kansas’ juvenile justice system

6. 2015 Workgroup Recommendations
Prevent deeper juvenile justice system involvement
Provide swift, appropriate responses to youth behavior
Target the use of pre-adjudication detention for higher-level youth
Protect public safety by focusing system resources
Focus residential beds on youth who pose the greatest public safety risk
Hold youth accountable through stronger community supervision
Sustain effective practices through oversight and reinvestment
Reinvest in evidence-based community alternatives to reduce reoffending and improve outcomes
Ensure juvenile justice professionals receive effective training
Incentivize better system performance through oversight and data collection

7. Legislative Results: Senate Bills 367 (2016) and 42 (2017)
Provided a policy change and a framework to implement across time many of the Juvenile Justice Workgroup recommendations
After the passing of SB367, there were common questions among both stakeholders advocating for reform and for continuation of current practices, including:
Would specific policy chances achieve the intended result
How can the void in access to community-based services be addressed
In today’s presentation, we will talk specifically about the work done in partnership with Clinical Associates

8. Out-of-Home Placements
JCF commitments have dropped 31%, from 237 in FY15 to 164 in FY18
The number of misdemeanants placed at the facility down 90%, from 34 to 4 over the same period.
Overall out-of-home placements have decreased by 63%, from 878 in FY15 to 321 in FY18.

9. Revenue for Community Based Services
K.S.A ,164 specifies that the Secretary determine “cost savings as a result of cost avoidance resulting from decreased reliance on incarceration in the juvenile correctional facility (JCF) and placements in youth residential centers.”

10. Reinvestment in Community Based Services
KDOC-JS has obligated approximately $7.5 million in FY18 to sustain and expand community based services
Services target youth who score as moderate, high, or very high risk on the YLS/CMI
$2.5 million for statewide contracts for Functional Family Therapy (FFT®), Sex Offender Assessment and Treatment Services, Moral Reconation Therapy (MRT®), and regional pilot projects for Youth Advocate Program (YAP®) and Aggression Replacement Training (ART®)
$4.0 million for a new reinvestment grant program
$1.0 million for new regional collaboration grant program

11. Strengthening Community Supervision
In 2017, KDOC-JS released revised standards for the delivery of community supervision to align with revised and new policies of SB367/42
Program/service delivery emphasis while reducing use of standard contacts in probation services
Graduated Responses and Incentives
Supervision duration align with case length limits
Case planning
Earned Discharge Credit

12. Needs Identified Supervision and Safety
Comprehensive Community Based Treatment
Continuity of Care
Training and Education for Stakeholders
Family Engagement
Collaboration with Supervision Agency Staff
Specialized Staff

13. State Initiated Contract for Community Based Sex Offender Evaluations and Treatment
In Fall 2015, a Request for Proposal (RFP) was sent out seeking community partners
Two primary goals of the RFP
To establish an assessment process/resource for all youth adjudicated of a sex offense for the judge’s use pre-disposition; and
To provide sex offender treatment to youth adjudicated of a sex offense in the community (including post-release from incarceration)

14. Education and Outreach
Community Outreach
Engagement Strategies

15. Program Design and Components
Duration of 6, 9, and 12 months determined by risk level
Allows youth to complete treatment prior to the expiration of probation
Tele-video treatment allows for youth in rural areas without hours of transportation to and from treatment
Booster sessions for youth exiting the juvenile correctional facility

16. Goals of Current Contract
Provide treatment services to approximately juveniles who have committed sexual offenses identified to participate in community treatment.
Assessments of individuals, cognitive-behavioral interventions counseling, group counseling, individual counseling, family counseling, family/parental support groups, booster sessions, and program consultation services.
It is anticipated that there will be the need for approximately 120 assessments statewide on an annual basis.

17. A Different Approach to Serving Youth with Sexual Behavior Problems
Community-based sex offender assessment and treatment became available statewide for the first time as a result of the reforms, beginning in July 2016
81 evaluations were completed in FY18, 58 of which recommended community-based treatment instead of incarceration
In FY18, 41 new youth were allowed to enter community-based treatment after disposition, and 90 youth in total received treatment
Of 55 discharges in FY18, 82% (N=45) were successful with no court revocation or termination of treatment

18. Treatment Philosophy Risk Management & Good Lives Approach Goals
Individualized
Empathic and collaborative

19. Psychosexual Evaluations of Adolescents
Conducted prior to placement in treatment
Goal is to gather information and provide recommendations for treatment
Includes psychosocial assessment
The more info we have the better (affidavit, police reports, victim statements, prior evaluations/treatment records, etc.)

20. Treatment Targets 5 Core Components Protective Factors
Sexual Education
Sexual Self-Regulation
Typology-Specific
Technology and Sexual Behavior
Fostering a Healthy Identity
Protective Factors

21. Sexual Education Issues of consent Anatomy and physiology
Healthy sexual development
Appropriate outlets for sexual feelings

22. Sexual Self-Regulation
Healthy boundaries
Importance of communication regarding boundary violations
Support system members (peers and family)
History of trauma/past sexual abuse/learned schemas regarding sexual behavior
Impulse-control
Managing sexual arousal
Emotion regulation

23. Typology Specific Lifestyle Delinquent Youth
Conduct Disordered otherwise criminals
Adolescent Onset, Non-Paraphilic Youth
Experimental
Compensation for deficits in social skills
Primarily directed at pre-pubescent females
Early Adolescent Onset, Paraphilic Youth
Emerging deviant sexual interests
(Hunter, 2006)

24. Technology & Sexual Behavior
Cell Phones
Sexting: 20% of teens have sent nude or semi-nude photos (22% of teen girls and 18% of teen boys)
Cyberbullying: Easy way to spread rumors or get revenge
Social Media
The Good (Facebook, Instagram, Twitter)
The Bad (After School, Askfm, MeetMe, Snapchat)
The Ugly (Yubo, Monkey, Kik, Omegle)

25. Pornography
“Any form of media whose sole purpose is sexual stimulation”
1980s-1990s: age at first exposure = 16.5
Now: 9 or 10
Almost all kids are exposed to pornography by the time they enter puberty
Only 25% will tell an adult at first exposure
30% of the internet is pornography (400,000 websites)
Larger than Amazon, Netflix, Twitter combined
How do kids first see pornography these days?

26. Fostering a Healthy Identity (Good Life)
Formulating a healthy support system
Family
Peers
Therapy (when appropriate)
Creating a successful living plan
Goals for success on supervision
Long-term goals
Moving toward an independent lifestyle
Reintegration/Integration
Maintaining healthy and safe behaviors within the home
Identifying/relying on support persons to help during the process
Continued monitoring/follow-up throughout reintegration

27. Protective Factors
Positive family functioning (e.g. adequate supervision, consistent and fair discipline)
Positive peer social group and availability of supportive adult
Commitment to school
Pro-social attitudes
Emotional maturity
Self-regulation
Problem-solving skills

28. What Treatment Looks Like
Risk and need driven
Identify responsivity issues at the outset and work through them—or ignore them for the time being
Goal is to reduce risk, increase accountability, improve functioning, establish healthy behavior patterns
Treatment is discontinued once goals are accomplished
No specific timeline
Weekly, bi-weekly, monthly sessions
Individual if needed
Family sessions are part of the contract

29. What it Doesn’t Look Like
“Here’s your Pathways workbook, fill it out and we’ll go through it.”

30. Referral Data Total Referrals for Evaluation: 227 Ages 13-22
Average Age = 17
97% Male
Pre vs. Post Sentencing:
44% Pre-Sentence
56% Post-Sentence

31. Cheyenne
Rawlins
Decatur
Norton
Phillips
Smith
Jewell
Republic
Washington
Marshall
Nemaha
Brown 1 3 5
Doniphan
Cloud
Atchison
Sherman
Thomas
Sheridan
Graham
Rooks
Osborne MC
Mitchell
Clay
Riley
Jackson
Pottawatomie
Leavenworth 2 6 5
Jefferson 9
Ottawa
Wyandotte
Lincoln
Shawnee 18
Wallace
Logan
Gove
Trego
Ellis
Russell 1
Geary
Wabaunsee 29 21 5 8
Saline
Dickinson
Ellsworth
Morris
Osage
Douglas
Johnson 4
Wichita
Scott
Franklin
Greeley
Lane
Miami
Ness
Rush
Barton
Lyon 6
McPherson 7
Marion 4
Rice
Chase 2 7
Coffey
Pawnee
Anderson
Linn
Hamilton
Kearny
Finney
Hodgeman
Stafford 2
Reno
Harvey 1
Butler
Greenwood
Gray
Edwards 4
Woodson
Allen
Bourbon
State Description – capital is Topeka, most populous city is Wichita, most populous county is Johnson
15th largest state by area
34th most populous with a population of 2,911,641 (2.9 million)
Talk about the rural nature of KS – population concentrated in Sedgwick (Wichita), Johnson and Wyandotte Counties (Kansas City metro area), and Shawnee County
Tie this in to where we are receiving referrals
Judicial Districts Not Served: 13{5th, 8th, 13th, 14th, 16th, 17th, 19th, 25th, 26th, 27th, 28th, 30th, 31st}
Ford
Sedgwick 6
Pratt
Kingman
Stanton
Grant
Haskell
Kiowa 54
Wilson
Neosho
Crawford 2
Elk
Meade
Clark
Barber
Sumner
Cowley
Morton
Stevens
Seward
Comanche
Harper
Montgomery
Labette 1
Chautauqua
Cherokee 3 1 10 1

32. Outcomes (Psychosexual Evaluations)
FY17
FY18
106 Total youth evaluated (70 recommended for treatment)
Referrals from 23/31 Judicial Districts in Kansas
JSORRAT (71 were able to be scored)
Low = 39
Moderate Low = 14
Moderate = 13
Moderate High = 4
High = 1
81 Total youth evaluated (58 were recommended for treatment)
Referrals from 18/31 Judicial Districts in Kansas
JSORRAT (47 were able to be scored)
Low: 31
Moderate-Low: 7
Moderate: 8
Moderate-High: 1
High: 0

33. Treatment Participation
FY17
FY18
39 Participated in Treatment
In-person: 32
Tele-video: 7
Group: 23/39
Individual: 16/39
90 Participated in Treatment
Individual outnumbered Group
Majority in-person
Most clients remained in home

34. Outcomes (Treatment) 17 Discharged 55 Discharged
FY17
FY18
17 Discharged
Low Risk: 10
Absconded: 1
Terminated: 4
Revoked: 1
Deceased: 1
55 Discharged
Low Risk: 39
Terminated: 7
Revoked: 3
Sentence Expiration: 3
Transfer to other jurisdiction: 3
Avg. length of treatment = months

35. External Peer Review (April 2018)
David Prescott, LCSW, LICSW
Observations (group session, individual session, evaluation)
Staff Interviews
Recommendations that focus on:
Trauma Informed Care (Incorporating ACE data)
Motivational Interviewing skills and techniques
Understanding and building on protective factors

36. Avoiding Pitfalls
Treatment providers often misinterpret responsivity issues as risk factors
Empathy
Denial
Motivation
Treatment providers often focus on responsivity issues instead of risk issues
Offenders who present with responsivity issues are NOT necessarily high risk

37. Ineffective Strategies
Assume that Relapse will happen
Foster an identity of a “sexual offender” “different” or “deviant”
Limit pro-social supports
Rely on “workbook” treatment
Equate task completion with treatment success
Stress understanding “empathy”

38. Effective Management Strategies
Collaborative
Involves Family, Supervision Officers, Pro-social support, Mental Health, other community resources
Foster a “normal” identity
Increase Pro-social Activities
It’s not what you want to avoid, it’s what you want to accomplish

39. What’s Next? PROFESOR Data Community Outreach Legislative Updates
Parent Engagement

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